Template name:URICA: University of Rhode Island Change Assessment
Participant Name:Sohail FitbitP15
Initiated by:Pradipta Patra
Patient MR No:N/A
Survey Issued on:06/01/2023
Date completed:06/01/2023
Readiness Scoring:
5.72
Result:
Precontemplation

Score

<8 Precontemplation
=8 Precontemplation/Contemplation Transition
8-11 Contemplation
=11 Contemplation/Preparation Transition
11-14 Prep/Action

Please indicate the extent to which you tend to agree or disagree with each statement.

1. * As far as I'm concerned, I don't have any habits that need changing.

2. * I think I might be ready for some self-improvement.

3. * I am doing something about the problems/habits that had been bothering me.

4. * It might be worthwhile to work on my problem.

5. * I don’t have a problem with organizing my time or studying. It doesn't make much sense for me to be here.

6. * It worries me that I might slip back on a problem I have already changed, so I am here to seek help.

7. * I am finally doing some work on my problem.

8. * I've been thinking that I might want to change something about myself.

9. * I have been successful in working on changing but I'm not sure I can keep up the effort on my own.

10. * At times my problem is difficult, but I'm working on it.

11. * Being here is pretty much a waste of time for me because the problem doesn't have to do with me.

12. * I'm hoping talking about changing my study skills will help me to better understand myself.

13. * I guess I have faults, but there's nothing that I really need to change.

14. * I am really working hard to change.

15. * I have a problem and I really think I should work at it.

16. * I'm not following through with what I had already changed as well as I had hoped, and I'm here to prevent a relapse of the problem.

17. * Even though I'm not always successful in changing, I am at least working on my problem.

18. * I thought once I had resolved my problem I would be free of it, but sometimes I still find myself struggling with it.

19. * I wish I had more ideas on how to solve the problem.

20. * I have started working on my problems but I would like help.

21. * Seeing a learning specialist may be a help to me.

22. * I may need a boost right now to help me maintain the changes I've already made.

23. * I may be part of the problem, but I don't really think I am.

24. * I hope that someone here will have some good advice for me.

25. * Anyone can talk about changing; I'm actually doing something about it.

26. * All this talk about learning styles and how to study in medical school is boring.

27. * I'm here to prevent myself from having a relapse of my problem.

28. * It is frustrating, but I feel I might be having a recurrence of a problem I thought I had resolved.

29. * I have worries/bad habits but so does the next guy. Why spend time thinking about them?

30. * I am actively working on my problem.

31. * I would rather keep doing what I am doing than try to change them.

32. * After all I had done to try to change my problem, every now and again it comes back to haunt me.

signature

Sohail FitbitP15


Timezone of user taking survey: Asia/Calcutta
Browser: Chrome 113.0.0.0
Device(OS): macOS
Time started: 02:07 PM
IP: 45.64.221.200
Device: desktop
Finish time: 02:08 PM
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